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Individual

JASON NEELY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
800 AMBOY AVE STE B, EDISON, NJ 08837-3247
(732) 301-4704
Mailing address
811 AMBOY AVE STE B, EDISON, NJ 08837-3275
(732) 301-4704

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37FI00233000
NJ
106H00000X
Marriage & Family Therapist
MF1736
MA

Other

Enumeration date
10/20/2011
Last updated
05/19/2025
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